Name:

Spouse/Fiancee:

E-mail:

Address:
City:          State:    Zip:

Daytime Phone:     Evening Phone:

Arrival:             Date:     Time:
Departure:        Date:     Time:

Will arrive by:      Plane     Car     Other

Airline and Flight Number to Fort Wayne:
Arriving:      Departure:
I need transportation to/from the airport

Will need housing for:    Tue   Wed   Thurs   Fri   Sat

Will need meals for:      Tue   Wed   Thurs   Fri   Sat

I am interested in becoming a pastor or a deaconess

During this trip, I would like to meet with the Relocation Coordinator to discuss finding housing, employment, a school for my children, and the like.

While at ICV, I plan on attending a Bible study entitled, "Is God Calling Me?" by Rev. Scott Stiegemeyer, Director of Admission.

Please sign me up to receive a campus tour.

Do you have any special needs we should be aware of?

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Date:

^*Child care will not be available. Feel free to contact us if you have any questions.